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Diabetes+comorbidities: MCQ challenge

M3 India Newsdesk Nov 21, 2023

The MCQ challenge explains interventions specific to diabetes consequences which need an echocardiogram, an ACE inhibitor for eye problems, and an SGLT2 inhibitor for poor kidney health as well as neuropathy in long-term instances.

 

Diabetes MCQ Challenge!

  1. A 45-year-old woman with longstanding type 2 diabetes presents with gradually worsening exertional dyspnea over six months. She has no chest pain. On exam, she has an elevated JVP, S3 gallop, and bilateral pedal oedema. The most appropriate next step is:
  1. A 58-year-old man with a 15-year history of type 2 diabetes presents with the gradual onset over several months of imbalance when walking. On neurological exam, he has absent ankle reflexes bilaterally. Which of the following is the most likely aetiology?
  1. A 32-year-old woman with type 1 diabetes since childhood comes to the clinic concerned about worsening vision over the past month. On fundoscopic exam, you note multiple dot and blot haemorrhages and exudates. Her urine albumin-to-creatinine ratio is elevated at 300 mg/g. The most appropriate management would be:
  1. A 66-year-old man with longstanding hypertension and type 2 diabetes presents with a two-day history of difficulty speaking and weakness of his right upper and lower extremities. MRI shows an ischemic stroke. Which of the following medications is most clearly indicated?
  1. A 54 year-old-woman with type 2 diabetes for eight years notes increasing lower extremity oedema and weight gain over three months. Creatinine has increased from 1.0 to 1.8 mg/dL. Urinalysis shows 3+ protein. The most appropriate step to preserve kidney function would be to:
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